Title

Health Care Coverage and Access Among Children, Adolescents, and Young Adults, 2010-2016: Implications for Future Health Reforms.

Document Type

Journal Article

Publication Date

6-1-2018

Journal

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

Volume

62

Issue

6

DOI

10.1016/j.jadohealth.2017.12.012

Keywords

Adolescent; Adult; Age Distribution; Child; Child, Preschool; Cross-Sectional Studies; Female; Health Care Reform; Health Services Accessibility; Health Surveys; Humans; Infant; Infant, Newborn; Insurance Coverage; Male; Patient Protection and Affordable Care Act; Socioeconomic Factors; United States; Young Adult

Abstract

PURPOSE: We examine changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act.

METHODS: Using the National Health Interview Survey, bivariate and logistic regression analyses were conducted to compare coverage and access among children, young adolescents, older adolescents, and young adults between 2010 and 2016.

RESULTS: We show significant improvements in coverage among children, adolescents, and young adults since 2010. We also find some gains in access during this time, particularly reductions in delayed care due to cost. While we observe few age-group differences in overall trends in coverage and access, our analysis reveals an age-gradient pattern, with incrementally worse coverage and access rates for young adolescents, older adolescents, and young adults.

CONCLUSIONS: Prior analyses often group adolescents with younger children, masking important distinctions. Future reforms should consider the increased coverage and access risks of adolescents and young adults, recognizing that approximately 40% are low income, over a third live in the South, where many states have not expanded Medicaid, and over 15% have compromised health.

Comments

This is an open access PubMed Central article.

Peer Reviewed

1

Open Access

1

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